Predictors Of Behavior Research Articles

Assessing non-dysfunctional attitudes toward sleep: psychometric properties of the Charlotte Attitudes Toward Sleep scale in Portuguese samples

ObjectivesTo adapt the Charlotte Attitudes Toward Sleep (CATS) scale, the only self-assessment instrument measuring non-dysfunctional attitudes toward sleep, into Portuguese and to study its psychometric properties in a Portuguese sample.MethodA sample of 1858 participants, recruited through non-probabilistic methods, was randomly split in two subsamples; one was used to develop the CATS model, the other for testing model invariance. We used structural equation models to assess factorial validity, measurement invariance, and relationships with other variables (e.g., the Karolinska Sleep Questionnaire) through confirmatory factorial analysis and causal models using a robust maximum likelihood method with Satorra-Bentler correction.ResultsThe CATS factorial model showed excellent evidence of factorial validity (robust CFI = 0.987, TLI = 0.979, SRMR = 0.026, RMSEA = 0.043), good reliability indicators (α and ώ1 > 0.75), and strict invariance of measurement (|∆CFI|< 0.01). CATS factors were weak-to-moderate predictors of sleep behaviors (β < 0.4). The scale showed evidence of divergent validity with the Karolinska Sleep Questionnaire. Some items had significant sensitivity problems and/or did not have adequate factorial weights and had to be dropped from the model.ConclusionsThe CATS is a new and promising scale with solid evidence of validity in terms of internal structure, but with sensitivity issues at item level. Further work should be carried out at item level to increase sensitivity and predictive validity, and further research with other samples, such as clinical sleep medicine patients, should be conducted.

Exploring Job Satisfaction and Caring Behaviors among Critical Care Nurses: A Descriptive Analytic Study

Introduction: Caring behaviors are actions that prioritize the welfare of patients. Job satisfaction is one factor that can influence nurses' caring behaviors, as nurses with higher job satisfaction tend to exhibit more positive caring behaviors.Objective: The study aimed to assess critical care nurses' job satisfaction levels, explore the dimensions of their caring behaviors, investigate the relationship between their caring behaviors and job satisfaction, and identify the significant independent predictors of nurses' job satisfaction and caring behavior in critical care units.Method: The study used a descriptive-analytic, correlational, cross-sectional research design. It was conducted at the critical care units of King Fahd Military Medical Complex in Saudi Arabia. A convenience sample of 112 registered nurses completed an online survey that included the Job Satisfaction Survey and the Caring Behavior Inventory.Results: The majority of respondents fall under the category of Ambivalent job satisfaction, constituting 67.9% of the total nurses. The analysis indicated a moderate job satisfaction level and a high caring behavior among critical care nurses. The study found a positive correlation between nurses' job satisfaction and caring behaviors. Factors such as working hours, work unit, and years of experience were significantly associated with nurses' job satisfaction. However, factors like operational procedures, co-worker relationships, nature of work, and working hours were significant predictors of nurses' caring behavior.Conclusion: The study highlights the importance of addressing job satisfaction factors to enhance critical care nurses' caring behaviors, which can ultimately improve patient outcomes. Strategies to enhance nurses' job satisfaction and support their caring practices should be a priority for healthcare organizations

Psychopathy traits explain variance shared between features of substance use disorders and violence.

There is a substantial research literature on identifying risk and protective factors for violence perpetration. Substance use disorders have long been identified as constituting a significant predictor of violent behaviour. Psychopathy traits have also been similarly recognised, but inter-relationships between psychopathy traits, features of substance use disorders and violence have been little explored. To determine the degree to which shared variance between substance dependence symptoms and violence, as indicated by criminal charges for violent offences, among jailed men can be explained by psychopathy traits. Features of dependence on substances in three drug classes (alcohol, cannabis and cocaine) were assessed in a sample of 682 men in a county jail awaiting trial on criminal charges, many for violent offences. Statistical comparisons of zero-order and partial correlations tested whether accounting for psychopathy total and facet scores, assessed by the Psychopathy Checklist-Revised (PCL-R), affected associations between substance dependence symptoms and violent charges. Total PCL-R scores accounted for a significant proportion of the shared variance between the history of criminal charges for violence offences and lifetime substance dependence symptoms in all three drug classes. At the facet level, controlling for ratings on the interpersonal and modified antisocial facets reduced the association between criminal charges for violent offences and symptoms of cocaine dependence; controlling for ratings on a modified antisocial facetalso attenuated links between alcohol and cannabis dependence symptoms and history of charges for violent offences. These findings build on the sparse literature to date on the role of psychopathy traits on relationships between features of substance use disorders and violence. Given that the observed connection between substance dependence symptoms and charges for violent offences is partly accounted for by individual differences in psychopathy traits, it follows that effective treatment for those traits may be useful, perhaps essential to reducing links between features of some substance use disorders and violent offending.

Adaptive incentive mechanism with predictors for on-time attended home delivery problem

The widespread use of the Internet and smart devices has led to a fast growth in online shopping, offering new chances for online retailers to boost profits. However, this expansion has also brought various challenges, such as the heavy workload faced by delivery riders. To meet customers’ delivery time preferences and increase earnings, riders often work long hours, especially during busy periods. This study explores how historical delivery data can be used to balance workload in on-time attended home delivery. Drawing on the actual delivery operations and data of an online shopping platform, we propose a framework that combines delivery demand and customer behavior predictors with an adaptive incentive system to balance rider workload. Specifically focusing on same-day attended home delivery, we introduce a method to forecast future delivery demand, an algorithm to estimate customer choice behavior using a simple model, and an adaptive incentive system to influence customer decisions and achieve workload balance. We show that as order volume increases, the proposed incentive system achieves the pre-determined workload target. Using real data, we conduct numerical experiments which not only underscore the superior predictive performance of our models but also affirm the efficacy of the proposed incentive structure.

Green dreams are made of this: Futures consciousness and proenvironmental engagement.

Futures consciousness (FC) refers to the capacity to understand, anticipate and prepare for the future. As a form of future orientation, it encompasses five interrelated dimensions of time perspective, agency beliefs, openness to alternatives, systems perception and concern for others. We present here cross-sectional evidence that FC is related to greater environmental engagement, above and beyond other future orientation constructs. In two pre-registered studies (one convenience student sample and one representative sample; N = 1041), we found that respondents with higher futures consciousness reported greater proenvironmental behaviour (consumption behaviour, land stewardship, social environmentalism and environmental citizenship). FC proved a better predictor of proenvironmental behaviour than the Zimbardo Inventory's Future Time Perspective and the Consideration for Future Consequences Scale (Study 1). FC was also related to stronger biospheric values (Study 2). However, it was not significantly related to personal environmental footprint (derived from a 16-item calculator). Strikingly, the environmental footprint was also unrelated to the Proenvironmental Behaviour Scale, which could point to a lack of correspondence between measures of proenvironmental propensity and impact. We discuss implications for future-thinking research and interventions aiming to improve futures consciousness.

Research on the relationship among resource integration, shared value, and value creation in scenic areas

This study investigates the potential predictors of resource creation behaviours in the Shanxi merchant courtyard scenic areas based on resource dependence theory. The research was conducted in China using questionnaire survey, and data analysis employed structural equation modelling, including mediation and moderation effects. The model was tested using a sample of 376 individual managers from scenic areas. The results show that external resource integration, internal resource integration, and shared value significantly affect resource creation in scenic areas. The findings indicate that shared value plays a significant mediating role in the relationship between resource integration and resource creation, while environmental dynamism significantly moderates this relationship. This study clearly demonstrates the relationship among resource integration, shared value, and value creation in scenic areas. This research contributes to the tourism management literature by identifying gaps and offering a comprehensive perspective to understand resource creation behaviours in the tourism industry.

Inappropriate trusting behaviour in dementia.

Inappropriate trusting behaviour may have significant social, financial and other consequences for people living with dementia. However, its clinical associations and predictors have not been clarified. Here we addressed this issue in canonical syndromes of frontotemporal dementia (FTD) and Alzheimer's disease (AD). In 34 patients with AD and 73 with FTD (27 behavioural variant (bv)FTD, 22 semantic variant primary progressive aphasia (svPPA), 24 nonfluent/agrammatic variant (nfv)PPA) we recorded inappropriate trusting and other abnormal socio-emotional behaviours using a semi-structured caregiver survey. Patients were comprehensively characterised using a general cognitive assessment and the Revised Self-Monitoring Scale (RSMS; an informant index of socioemotional awareness). Inappropriate trusting was more frequent in svPPA (55%) and bvFTD (44%) than nfvPPA (17%) or AD (24%). After adjusting for age, sex, education and Mini-Mental State Examination (MMSE) score, inappropriate trusting was significantly more likely in svPPA (odds ratio 3.61; 95% confidence interval 1.41-8.75) and bvFTD (3.01, 1.23-6.65) than AD. Significant predictors of inappropriate trusting comprised apathy in svPPA, disinhibition and altered pain responsiveness in bvFTD, and lower MMSE and RSMS (self-presentation) scores in AD. Dementia syndromes vary in prevalence and predictors of abnormal trusting behaviour, with implications for clinical counselling and safeguarding.

Don't say it's over: The perceived epidemic stage and COVID preventive behaviour.

Little is known about the perceptions of the COVID-19 pandemic's dynamic and its effect on self-protective behaviour. Using survey data from 1343 university students we explored how the perceived temporal distance to the COVID pandemic peak associates with risk perception and the adherence of preventive behaviours. Results show that individuals differ in their perception of the pandemic stage despite being in the same environment. The belief that the COVID peak is in the past was associated with less perceived risk and decreased self-protection. A high COVID-19 media involvement and trust in the authorities were associated with higher perceived risk and preventive behaviour implementation. Overall, the perception that the pandemic wave is in its final stages could be an independent predictor of more risky behaviour. Thus, the communication of the pandemic dynamic should be provided by policy makers with caution to avoid the possibility of discounting the risk.

Identifying Predictors of Smoking Switching Behaviours Among Adult Smokers in the United States: A Machine Learning Approach.

Completely abstaining from cigarette smoking or fully switching to e-cigarette (EC) use may be beneficial for reducing the global burden of smoking-related diseases. This study aimed to identify and compare the top 10 prospective predictors of smokers switching away from smoking in the United States. Data from adult exclusive cigarette smokers at Wave 4 of the Population Assessment of Tobacco and Health (PATH) study, who were followed up at Wave 6, were analysed. An Xgboost-based machine learning (ML) approach with a nested cross-validation scheme was utilised to develop a multiclass predictive model to classify smokers' behavioural changes from W4 to W6, including smoking cessation, full and partial switching to EC, and cigarette non-switching. The SHapley Additive exPlanations (SHAP) algorithm was deployed to interpret the top 10 predictors of each switching behaviour. A total of 396 variables were selectedto generate the four-class prediction model, which demonstrated a micro- and macro-average area under the receiver operating characteristics curve (ROC-AUC) of 0.91 and 0.81, respectively. The topthreepredictors of smoking cessation were prior regular EC use, age, and household rules about non-combusted tobacco. Forfull switching to EC use, the leading predictorswere age, type of living space, and frequency of social media visits. Forpartial switching to EC use, the key predictorswere dailycigaretteconsumption, the time from waking up to smoking the first cigarette, and living with tobacco users. ML is a promising techniqueforprovidingcomprehensive insights into predicting smokers' behavioural changes. Public health interventions aimed athelping adults switch away from smoking should consider the predictors identified in this study.

Impacts of Just Culture on Perioperative Nurses' Attitudes and Behaviors With Regard to Patient Safety Incident Reporting: Cross-Sectional Nationwide Survey

PurposeJust culture refers to a culture that encourages members of an organization to exchange important safety information and compensates them when they perform such information exchanges. The establishment of a just culture in hospital organizations might be an important means of enhancing patient safety incident reporting. This study aimed to investigate the impact of just culture on the attitudes and behaviors toward patient safety incident reporting in perioperative nurses. MethodsA nationwide cross-sectional survey was performed using structured questionnaires. The participants were 208 perioperative nurses in tertiary general hospitals in South Korea. Data were collected by self-reported on-line questionnaires, from August to September 2020. Data were analyzed with descriptive statistics, independent t-test, chi-square test, Fisher’s exact test, one-way ANOVA, Scheffé test, Pearson's correlation analysis, Spearman rank correlation analysis, hierarchical multiple regression, and hierarchical logistic regression using the SPSS WIN 23.0 program. ResultsHierarchical multiple regression analysis revealed that just culture explained an additional 34.5%p of the attitudes on patient safety incident reporting. Hierarchical logistic regression analysis showed that just culture was a significant predictor of behaviors regarding patient safety incident reporting (odds ratio = 2.25, p = 0.017). The final regression model accounted for 16.0% of the behaviors regarding patient safety incident reporting. ConclusionsThis study empirically shows that just culture impacted the attitudes and behaviors regarding patient safety incident reporting in perioperative nurses. This study provides an evidence about the importance of the just culture in every day nursing practice setting. Personnel and organizational efforts for improving or implementing just culture are required to ensure greater patient safety by enhancing the patient safety incident reporting of perioperative nurses in hospitals.

Factors Predicting Mental Health Problems among Vocational Education Students in Eastern Thailand: A Cross-sectional Study

Vocational education is studying courses that allow students to learn specific, practical skills for the establishment. However, both the curriculum courses and the lifestyles of students may be affected by multiple factors that influence their mental health. Understanding various factors predicting the mental health status of these students is necessary to evelop programs for preventing mental health problems. This cross-sectional study aimed to identify biopsychosocial factors predicting depression, anxiety, and stress among vocational education students in the East of Thailand. Multistage cluster sampling was applied to recruit 1,474 voluntary participants. Data was collected using six questionnaires, including Sociodemographic Data, the Brief-Alcohol, Smok­ing, and Substance Involvement Screening Test, The Substance Use Risk Profile Scale, The Revised Olweus Bully/Victim Questionnaire, Difficulties in Emotion Regulation Scale-short form, Depression Anxiety and Stress Scale. Multivariable logistic regression was employed for data analyses. The findings revealed that students reported depression (11.6%), anxiety (20.8%), and stress (3.9%), all classified at a mild level. The strongest predicting factor of depression was the hopelessness personality profile. At the same time, anxiety was a predictor of victim and bullying behavior patterns, and stress was a predictor of substance use behaviors. In addition, the difficulty of emotional regulation was associated with all their mental health problems. The results suggested that personnel in educational institutions and community nurses should promote students’ abilities to regulate emotions and personality development and prevent bullying behaviors. Through the use of nursing process to screen for these significant factors and monitor at-risk students based on our findings should help to reduce the incidence rate and severity of mental health problems.

Predictors of Students’ Proper Waste Disposal Behavior in School Environment: a Partial Least Squares Structural Equation Modeling Approach

It is evident from various reports and statistics that there is a significant gap between the desired environmental state and the current situation, primarily due to improper waste disposal. This study used a predictive-correlational design and structural equation modeling to examine the predictors of proper waste disposal behavior. The research instrument was validated and used to survey 293 high school students across three public schools in Nueva Ecija, Philippines. Using WarpPLS 8.0, the results revealed that (1) accessibility of trash bins, perceived consequences, environmental concern, and perceived behavioral control predict proper waste disposal behavior, and (2) environmental concern and perceived behavioral control sequentially mediate the effect of perceived behavioral control on proper disposal behavior. This study proposes a structural model with meaningful predictive accuracy that can help educational institutions design effective waste management programs empowering education to promote eco-friendly behavior. Future studies may be conducted to test the revised model presented in this study.

Perceived Trustworthiness and Perceived Risk-Taking as Predictors of Online Shopping Behaviour among Youths in Ibadan

E-commerce has generated a lot of interest across the globe where individuals sit in the comfort of their homes and purchase goods and services. However, study linking youths in many developing countries to the new trend seem to be affected by skepticism. Therefore, this study examines perceived trustworthiness and perceived risk-taking as predictors of online shopping behavior among youths in Ibadan metropolis. Cross-sectional survey design was adopted while data were collected from 200 randomly selected participants. Data were collected using validated scales and analyzed using zero-order correlation, t-test for independent samples, and multiple regression analysis to test three hypotheses at a p &lt; 0.05 level of significance. The result revealed that perceived trustworthiness and perceived risk-taking significantly correlated with online shopping behavior among study participants. Also, the results revealed that perceived trustworthiness and perceived risk-taking jointly predicted online shopping behavior. Finally, both perceived trustworthiness and perceived risk-taking independently predicted online shopping behavior among study participants. The study concluded that perceived trustworthiness and perceived risk-taking are excellent predictors of online shopping behavior among those who took part in the study. It is advised that web designers and internet marketers create online shopping platforms that foster confidence and discourage risk-taking in order to attract and retain more online customers.

Predictors of child restraint usage among Chinese parents

Objective: To investigate psychological predictors of the use of child restraints among Chinese parents following passage of national law requiring their use. Methods: Grounded in the Prototype Willingness Model (PWM) and guidance from previous research, we developed and administered a questionnaire to assess child restraint usage and understand psychological factors that predict usage. 413 parents with child(ren) aged 0–8 years completed the questionnaire through the WenJuanXing online survey platform. Results: Among the 413 parents, 321 (77.7%) used child restraints regularly when taking their children on car trips, with the highest use reported among parents with children under 1 year (83.8%). Among the psychological predictors, willingness to use a restraint was the strongest predictor of intention and self-reported behavior to use restraints, but the predictive effect of intention on behavior was not significant. Descriptive norms – a belief that trusted friends and family use restraints – was the strongest predictor of behavior to use child restraints, and prototype favorability – the belief that prototypical parents of similar age and gender use restraints – also showed significant effects in predicting behavior. Conclusions: Following the passage of national laws requiring child restraints in China, it is becoming more common for parents to use restraints when their children travel by car. Parents’ use of child restraints for children follows a socially reactive (through willingness) decision-making path rather than a reasoned (through intention) decision-making pattern. The influence of the behavior of others, both trusted friends and family (descriptive norms) and prototypical similar parents (prototype favorability) are strong predictive factors for use of child restraints, suggesting prevention programs might leverage behavior of others to impact parents and encourage use of child restraints.

Are a Child's Autistic Traits, Behavioural Difficulties, Prosocial Behaviour and Temperament Predictors of Parental Self-Efficacy and Satisfaction? A Study on Parents of Autistic and Neurotypical Children Aged 7-11 Years.

The aim of the study was to evaluate the significance of the severity of autistic traits, behavioural difficulties, prosocial behaviour and temperamental characteristics in children for parental self-efficacy and parental satisfaction in two groups of parents: parents of autistic children, and parents of neurotypical children. Data come from 145parents of autistic children and 239 parents of neurotypical children. Using hierarchical multiple regression analyses, the analysis explored the role of child characteristics in prediction of parental self-efficacy and parental satisfaction. The regression model tested explained 21% variation in parental self-efficacy and 27% variation in parental satisfaction in parents of autistic children and 3% of variation of results with respect to parental self-efficacy and 17% variation in parental satisfaction in parents of neurotypical children. In both groups, parental self-efficacy and parental satisfaction were negatively correlated with such child characteristics as severity of behavioural difficulties, severity of autistic traits and emotionality as also positively related to the child's prosocial behaviour. These findings may suggest that particularly useful mental health prevention programs for parents should combine two elements: developing parents' abilities of effectively coping with children's behavioural difficulties and working on attribution processes and negative convictions about parenthood.

Self-perceived quality of life, cognitive and behavioural impairment in amyotrophic lateral sclerosis

BackgroundSelf-perceived quality of life (QoL) is important in amyotrophic lateral sclerosis (ALS). Although caregiver burden and strain have been related to cognitive and behavioural impairment, there has been no comprehensive research looking at these impairments and how they may influence self-perceived QoL subdomains.AimsTo explore how cognitive and behavioural impairment are related to different areas of self-perceived QoL using disease-specific measures.MethodsThis was a quantitative, cross-sectional, observational cohort study, utilising existing specialist ALS clinic data. Clinical and demographic variables were available as well as multidimensional measures, ALS-specific QoL Short Form (ALSsQoL-SF) results and the data from the Edinburgh Cognitive and Behavioural ALS Screen (ECAS). Group comparison and regression analyses were performed.ResultsData from 121 participants with ALS were analysed. 61.2% (N = 74) had either cognitive and/or behavioural impairment, with 28.9% (N = 35) with cognitive impairment (ALSci), 14.1% (N = 17) with behavioural impairment (ALSbi) and 18.2% (N = 22) with both (ALScbi). 38.8% (N = 47) were classified as having no impairments (ALSni). Those with ALSbi had significantly lower QoL in the domains of negative emotions and the interaction with people and the environment compared to those with ALSci and ALSni (ps < 0.05). Further, those with ALScbi had significantly lower QoL in the intimacy domains than those with ALSci and ALSni (ps < 0.05). Regression analysis showed specific cognitive and behavioural (inclusive of psychosis) predictors associated with specific QoL subdomains.ConclusionsBehavioural impairments effect QoL in specific subdomains, namely relating to internalising (negative emotions) and externalising (interaction with people and the environment subdomains, intimacy).

Environmental Behavior Framework Revisited: Where Do We Stand Ten Years Later and Where Do We Go from Here?

Increasing environmental challenges are prompting sport managers to act to minimize negative ecological impacts. Educational opportunities for sport management students are critical for developing awareness and understanding of environmental sustainability across the sport industry. In 2012, Casper and Pfahl examined the personal environmental actions of sport administration and recreation students. The purpose of our current research is to expand on Casper and Pfahl’s work by assessing the predictive relationships of values, beliefs, and norms on behaviors related to environmental sustainability using the Value–Belief–Norm (VBN) framework. Sport management students (N = 510) representing 23 higher education institutions completed the online survey. Structural equation modeling showed minimal changes over ten years. Norms were the strongest predictors of pro-environmental behaviors, and results indicated that students hold sport management organizations to a higher environmental standard than traditional businesses. The authors provide discussion and recommendations on bridging the gap between academia and industry to better prepare students for their professional futures in the sport industry.

An examination of sociodemographic and clinical factors influencing help-seeking attitudes and behaviors among adolescents with mental health problems.

This study investigated sociodemographic and clinical factors influencing help-seeking attitudes and behavior among adolescents with mental health problems. As part of the ProHEAD ("Promoting Help-seeking using E-technology for ADolescents") consortium a school-based, online assessment of sociodemographic information, psychopathology, risk-taking and self-harming behavior, help-seeking attitudes and behavior, and barriers to help-seeking was conducted in adolescents aged ≥ 12 years recruited from randomly selected schools in five regions of Germany. Linear regression analyses with the LMG formula were performed to explore predictors of help-seeking attitudes and behavior and assess their relative importance. Nine thousand five hundred and nine participants (95.5%) completed the online assessment (mean age: 15.1 years, 58.6% female). In total, 1606 participants (16.9%) showed relevant mental health problems (e.g., depressive and eating disorder symptoms, alcohol problems, and thoughts of self-harming behavior). Among them, 895 (55.7%) reported having sought help (lifetime), with higher rates for informal (n = 842, 52.4%) compared to professional (n = 380, 23.7%) sources. High help-seeking propensity emerged as the most important factor contributing to professional help-seeking, followed by elevated levels of psychopathology and perceived barriers, with sociodemographic factors being less impactful. Psychopathological severity also outweighed sociodemographic factors in predicting negative help-seeking attitudes. These findings indicate that attitudes towards seeking professional help, perceived barriers, and psychopathology severity critically influence limited adolescent help-seeking behavior. This emphasizes the need for initiatives that promote help-seeking, reduce negative attitudes, and address structural barriers in adolescent mental health care.

Making the grade? A meta-analysis of academic performance as a predictor of work performance and turnover.

Many organizations assess job applicants' academic performance (AP) when making selection decisions. However, researchers and practitioners recently have suggested that AP is not as relevant to work behavior as it used to be due to factors such as grade inflation and increased differences between academic and work contexts. The present meta-analysis examines whether, and under what conditions, AP is a useful predictor of work behavior. Mean correlations (corrected for error in the criterion) between AP and outcomes were .21 for job performance (k = 114), .34 for training performance (k = 8), and -.02 for turnover (k = 20). There was considerable heterogeneity in validity estimates for job performance (80% credibility interval [.04, .37]). Moderator analyses revealed that AP is a better predictor of performance (a) for AP measures that are more relevant to students' future jobs, (b) for professor ratings of AP than for grades and class rank, (c) for samples that include applicants from the same university or from the same major, and (d) for official records of AP than for applicant self-reports. Job relevance was the strongest and most consistent moderator with operational validities in the .30s and .40s for measures that assessed AP in major-specific courses or courses in which students are evaluated on behaviors relevant to their future jobs (e.g., practicum classes). Overall, researchers and organizations should carefully consider whether and how AP is relevant to particular jobs and outcomes, as well as use designs and measures that optimize the predictive value of AP. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Recurrence Risk Perception, Fear of Progression, and Health Behaviors Among Patients With Ischemic Stroke.

The relationship between recurrence risk perception, fear of progression, and health behaviors in patients with ischemic stroke is unclear. To explore the effect of accuracy and level of recurrence risk perception on health behaviors and the mediating role of fear of progression. We conducted a 2-wave survey. Patients with ischemic stroke (N = 261) were recruited from 2 hospitals in Guangzhou, China. Before discharge, demographic information, objective recurrence risk, perceived recurrence risk, fear of progression, and health behaviors were investigated. After 1 month, the patient's health behaviors were followed up. The median (quartiles 1-3) scores for recurrence risk perception and fear of progression were 43.0 (39.0-46.0) and 22.0 (18.0-28.0), respectively. Only 22.2% of the patients correctly perceived the risk of recurrence, 23.0% underestimated the risk, and 30.7% overestimated the risk. Patients who overestimated the risk of recurrence (β = 0.421, P = .002) or had a higher perceived level of recurrence risk (β = 0.446, P < .001) had a higher fear of progression, which contributed to better health behaviors at 1 month (β = 0.197, P = .001). Fear of progression played a partial and full mediating role, respectively. Patients who underestimated the recurrence risk had worse health behaviors than those who accurately perceived it (β = -0.296, P = .033). Both accuracy and level of recurrence risk perception were independent predictors of future health behaviors, and fear of progression was mediating. Health care professionals should develop individualized risk education programs to help stroke patients properly understand and cope with the risk of recurrence.